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Text File  |  1994-03-08  |  2KB  |  65 lines
  1.  
  2.  
  3.  
  4.                           ZDIFF 2.0 REGISTRATION FORM
  5.  
  6.                           Date : ______/______/______
  7.  
  8.  
  9.     TO:
  10.  
  11.                Christophe Dubourg
  12.                23, rue Victor Hugo
  13.                78370 PLAISIR
  14.                FRANCE
  15.  
  16.     ----------------------------------------------------------------
  17.     FROM:
  18.  
  19.                Name: _______________________________________________
  20.  
  21.       Compuserve Id: _______________________________________________
  22.  
  23.           [Company]: _______________________________________________
  24.  
  25.             [Title]: _______________________________________________
  26.  
  27.             Address: _______________________________________________
  28.  
  29.                      _______________________________________________
  30.  
  31.               State: ______________________ Zip Code: ______________
  32.  
  33.             Country: ______________________ Phone: _________________
  34.  
  35.  
  36.  
  37.     ----------------------------------------------------------------
  38.     Please check the appropriate box, and fill the fields below:
  39.  
  40.  
  41.     [ ]  ZDiff on 1 computer ............................  = $____15
  42.  
  43.     [ ]  ZDiff on 2 to 10  computers .......  $12 X _____  = $______
  44.  
  45.  
  46.     [ ]  DPMI version of ZDiff, add  ....................  = $_____5
  47.  
  48.  
  49.     In the following multi-user registrations, DPMI version is included.
  50.  
  51.     [ ]  ZDiff on 11 to 100 computers .......  $8 X _____  = $______
  52.  
  53.     [ ]  ZDiff on 101 to 200 computers ......  $5 X _____  = $______
  54.  
  55.     [ ]  ZDiff on 201 or more computers .................  = $__1000
  56.  
  57.  
  58.                                                     TOTAL  = $______
  59.  
  60.  
  61.  
  62.                   PLEASE INCLUDE THIS FORM WITH YOUR CASH
  63.                           (or CHECK if total>$100).
  64.  
  65.